Yu H. Improving pressure ulcer care in intensive care units: Evaluating the impact of bundled care and silver nanoparticle dressings. World J Clin Cases 2024; 12(19): 3873-3881 [PMID: 38994315 DOI: 10.12998/wjcc.v12.i19.3873]
Corresponding Author of This Article
Hong Yu, MD, Nurse, Department of Intensive Care Unit, The First People's Hospital of Ziyang, No. 66 Rende West Road, Yanjiang District, Ziyang 641300, Sichuan Province, China. 17780765705@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 6, 2024; 12(19): 3873-3881 Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3873
Improving pressure ulcer care in intensive care units: Evaluating the impact of bundled care and silver nanoparticle dressings
Hong Yu
Hong Yu, Department of Intensive Care Unit, The First People's Hospital of Ziyang, Ziyang 641300, Sichuan Province, China
Author contributions: Yu H was responsible for the entire research project, including the study design, experimental execution, data analysis, and interpretation of results; Yu H also undertook the writing and revision of all sections of this paper.
Institutional review board statement: The study adhered to the ethical principles set forth in the Declaration of Helsinki and received ethical approval from the Ethics Committee of The First People's Hospital of Ziyang prior to its commencement.
Clinical trial registration statement: This registration policy applies to registry trials. This study is registered at https://clinicaltrials.gov.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong Yu, MD, Nurse, Department of Intensive Care Unit, The First People's Hospital of Ziyang, No. 66 Rende West Road, Yanjiang District, Ziyang 641300, Sichuan Province, China. 17780765705@163.com
Received: March 12, 2024 Revised: April 28, 2024 Accepted: May 11, 2024 Published online: July 6, 2024 Processing time: 109 Days and 2.4 Hours
Abstract
BACKGROUND
Pressure ulcer (PU) are prevalent among critically ill trauma patients, posing substantial risks. Bundled care strategies and silver nanoparticle dressings offer potential solutions, yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.
AIM
To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.
METHODS
A total of 98 critically ill trauma patients with PUs in intensive care unit (ICU) were included in this study. Patients were randomly assigned to either the control group (conventional care with silver nanoparticle dressing, n = 49) or the intervention group (bundled care with silver nanoparticle dressing, n = 49). The PU Scale for Healing (PUSH) tool was used to monitor changes in status of pressure injuries over time. Assessments were conducted at various time points: Baseline (day 0) and subsequent assessments on day 3, day 6, day 9, and day 12. Family satisfaction was assessed using the Family Satisfaction ICU 24 questionnaire.
RESULTS
No significant differences in baseline characteristics were observed between the two groups. In the intervention group, there were significant reductions in total PUSH scores over the assessment period. Specifically, surface area, exudate, and tissue type parameters all showed significant improvements compared to the control group. Family satisfaction with care and decision-making was notably higher in the intervention group. Overall family satisfaction was significantly better in the intervention group.
CONCLUSION
Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients. This approach holds promise for improving PUs management in the ICU, benefiting both patients and their families.
Core Tip: The findings indicate significant reductions in total pressure ulcer scale for healing scores in the intervention group, with notable improvements in surface area, exudate, and tissue type parameters compared to the control group. Moreover, family satisfaction with care and decision-making was substantially higher in the intervention group, demonstrating the positive impact of bundled care on both patient outcomes and family experience in the intensive care unit setting.
